Provider Demographics
NPI:1548244759
Name:HOSAIN, SYED S (MD)
Entity Type:Individual
Prefix:DR
First Name:SYED
Middle Name:S
Last Name:HOSAIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:447 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-5539
Mailing Address - Country:US
Mailing Address - Phone:410-871-2333
Mailing Address - Fax:410-871-2335
Practice Address - Street 1:447 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5539
Practice Address - Country:US
Practice Address - Phone:410-871-2333
Practice Address - Fax:410-871-2335
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-01
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD39502207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD52153905OtherBLUE CROSS/BLUE SHIELD
MD821055OC2OtherOPTIMUM CHOICE
MDE0500001OtherBLUE CHOICE
MD557621100Medicaid
MD221055ML2OtherALLIANCE/MDIPA
MD52153905OtherBLUE CROSS/BLUE SHIELD
MDE0500001OtherBLUE CHOICE